Krystal Richardson, FNP in Pontiac, MI - Medicare Nurse Practitioner

Krystal Richardson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pontiac, Michigan. Her current practice location is 461 W. Huron Suite 107, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 724-7600.

Krystal Richardson is licensed to practice in Michigan (license number 4704289683) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457850414.

Contact Information

	Krystal Richardson, FNP
	461 W. Huron Suite 107, Pontiac, MI 48341
	(248) 724-7600
	Not Available

Map and Direction

Provider's Profile

Full Name	Krystal Richardson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	461 W. Huron Suite 107, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457850414
Provider Enumeration Date: 02/06/2018
Last Update Date: 02/06/2018

Medicare PECOS Information:

PECOS PAC ID: 3678912029
Enrollment ID: I20240417003314

Medical Identifiers

Medical identifiers for Krystal Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457850414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704289683 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krystal Richardson allows following entities to bill medicare on her behalf.

Entity Name	Oakland Integrated Healthcare Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316214299 PECOS PAC ID: 9436313004 Enrollment ID: O20120611000523

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystal Richardson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Krystal Richardson, FNP 325 Fourth Avenue, Pontiac, MI 48340 Ph: () -	Krystal Richardson, FNP 461 W. Huron Suite 107, Pontiac, MI 48341 Ph: (248) 724-7600

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3700
Carol D Wilkinson, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6954 Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5210 Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340 Phone: 248-977-3758
Elsina John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-605-3502
Ms. Carly Lynn Kassa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5645 Fax: 248-338-5547
Ariola Cacaj Dixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-234-7540 Fax: 248-581-8716

Krystal Richardson, FNP - Medicare Nurse Practitioner in Pontiac, MI